# KENDRA WESTERHAUS PHD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689529620
- **Authorized official:** KENDRA WESTERHAUS PHD (OWNER)
- **Authorized official phone:** (814) 777-1375

## Contact information

- **Practice address:** 200 S MAIN ST STE M3, POCATELLO, ID 83204-3261
- **Practice address phone:** (814) 777-1375
- **Mailing address:** 200 S MAIN ST STE M3, POCATELLO, ID 83204-3261
- **Mailing address phone:** (814) 777-1375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2026
- **Last updated:** 03/04/2026